R 2016-580-E ES - Communication Center Specialists - Outside Agency Performance Agreement

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DocuSign Envelope ID:E7E2AC23-E3B6-4B7D-8086-97FOB91OD1AE ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Communication Center Specialists Party/Vendor Contact Person: Jenny Mason Contact Phone: 503-799-3601 Party/Vendor Address: PO BOX 538 City Chehalis State: WA Zip: 98532 Department: Emergency Services Amount: 3850.00 Purpose: 9-1-1 Console Cleaning Budget Code(s): 35755120-571000 Vendor # 62529 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date October 19, 2017 Approved by Board Yes® No❑ Agenda Date: Budget Approval This agreement is approved as to teeple a' 1,5 content: l �tV1 Department Director's Signature Date: 10/25/2016 Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficienc Dimosraar:standards,specifications,and requirements: MSa. (hnutl6 10/26/2016 Office of the Risk Management Office $ �a gea Date. Financial Services This instrument has been pre-audited i �gtff�ti *quired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office re 16o4 &a Date: 10/26/2016 Legal Services This agreement is approved as t e fdPfV z%d sufficiency: Office of the County Attorney 4 40 4kl Date: 10/26/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d&oran etync. oovv The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 6/16 5